Bear Card Transfer Form
Beginning Spring 2009

All Students must fill out a Bear Card transfer sheet before funds can be transferred from the student's tuition account to his/her Bear Card account.

You may complete the form below and bring it to the Office of the Bursar
in Ryals Hall or fax the form to 478-301-2663.
During a normal business week, please allow 24 hours for processing.

 

Name__________________________Term __________________________

Student Number_______________________________Date_____________

email address (necessary in order to process request) __________________________________

I authorize Mercer University to apply exactly $__________ of my credit balance to my Bear Card debit account.

I understand that this amount is deducted from any excess financial aid monies and/or other credits that are due to me.

I understand that any money transferred to my BearCard is
NON-REFUNDABLE except upon graduation or withdrawal
from Mercer
University.

_____________________________
Signature

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 For Bursar's Office Use only

Keyed in SIS                         $_________ By:_________   Date________

Keyed in Bear Card System $_________ By:___________ Date________